Organization Active NPI

Orthopedic Surgical Consultants, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Chaska, MN
National Provider Identifier
1083933642
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1123 Issued in MN
Legal business name
ORTHOPEDIC SURGICAL CONSULTANTS, P.A.
Practice address
3000 N Chestnut St
Suite 100
Chaska, MN 55318-3054
Phone
(952) 428-3399
Fax
(952) 428-3390
NPI assigned
May 21, 2010
Last updated
May 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Conrad Carlson, M.D.
Title
M.D., Owner, President
Phone
(952) 428-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1123 MN Primary

Addresses

Primary practice location

3000 N Chestnut St
Suite 100
Chaska, MN 55318-3054

Mailing address

1601 Saint Francis Ave
Suite 200
Shakopee, MN 55379-3383
Phone (952) 428-3399

Other identifiers 1

IdentifierTypeStateIssuer
826312400MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Surgical Consultants PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1083933642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SAINT FRANCIS AVE",
            "address_2": "SUITE 200",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793383",
            "telephone_number": "952-428-3399",
            "fax_number": "952-428-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N CHESTNUT ST",
            "address_2": "SUITE 100",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553183054",
            "telephone_number": "952-428-3399",
            "fax_number": "952-428-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGICAL CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "M.D., OWNER, PRESIDENT",
        "authorized_official_telephone_number": "952-428-3399",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826312400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.